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s59995464_7 | p16702384 | s59995464 | 7 | Findings | Compare to ___, there is no significant change. Mildly increased opacity in the right lower lobe is likely due to atelectasis. Tortuous thoracic aorta is again seen. The heart size is unchanged. The mediastinal and hilar contours are unchanged. | Tortuous thoracic aorta is again seen. | Tortuous thoracic aorta | null | Stable | ['files/p16/p16702384/s59995464/0dfed2ec-624d2e66-7af3ed74-a27747b8-edc7dbbe.jpg'] | ['files/p16/p16702384/s59625217/af7b71cb-a81b41c2-7a833e07-b24ab488-94df3005.jpg\n', 'files/p16/p16702384/s59625217/c5a5c232-181b02b8-84a60019-8846ccfb-5a75ef5d.jpg\n'] |
s59995464_7 | p16702384 | s59995464 | 7 | Findings | Compare to ___, there is no significant change. Mildly increased opacity in the right lower lobe is likely due to atelectasis. Tortuous thoracic aorta is again seen. The heart size is unchanged. The mediastinal and hilar contours are unchanged. | The mediastinal and hilar contours are unchanged. | Mediastinal and hilar contours | null | Stable | ['files/p16/p16702384/s59995464/0dfed2ec-624d2e66-7af3ed74-a27747b8-edc7dbbe.jpg'] | ['files/p16/p16702384/s59625217/af7b71cb-a81b41c2-7a833e07-b24ab488-94df3005.jpg\n', 'files/p16/p16702384/s59625217/c5a5c232-181b02b8-84a60019-8846ccfb-5a75ef5d.jpg\n'] |
s59995464_7 | p16702384 | s59995464 | 7 | Findings | Compare to ___, there is no significant change. Mildly increased opacity in the right lower lobe is likely due to atelectasis. Tortuous thoracic aorta is again seen. The heart size is unchanged. The mediastinal and hilar contours are unchanged. | Mildly increased opacity in the right lower lobe is likely due to atelectasis. | Opacity | right lower lobe | Worse | ['files/p16/p16702384/s59995464/0dfed2ec-624d2e66-7af3ed74-a27747b8-edc7dbbe.jpg'] | ['files/p16/p16702384/s59625217/af7b71cb-a81b41c2-7a833e07-b24ab488-94df3005.jpg\n', 'files/p16/p16702384/s59625217/c5a5c232-181b02b8-84a60019-8846ccfb-5a75ef5d.jpg\n'] |
s59995473_1 | p11722594 | s59995473 | 1 | Findings | The lungs remain hyperinflated. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | The lungs remain hyperinflated. | Hyperinflation | null | Stable | ['files/p11/p11722594/s59995473/0e43db6f-d45a9ba5-c1e8e5d8-7544d0d5-ba02f123.jpg', 'files/p11/p11722594/s59995473/c3c9795d-d7fbb7fc-e28659dd-d008b046-1e73847e.jpg'] | ['files/p11/p11722594/s53101623/7d437d80-a8abafb8-bf2c47e1-6af5c831-576dc1c2.jpg\n', 'files/p11/p11722594/s53101623/aa8e3371-49c7a3be-598d593d-a344a66f-ccb42aaf.jpg\n'] |
s59995673_4 | p10386562 | s59995673 | 4 | Findings | Multiple calcified pleural plaques are unchanged from yesterday. New increased opacity at the right lung base could represent aspiration. Indistinctness of the pulmonary vasculature is consistent with pulmonary vascular congestion. Stable appearance of the cardiomediastinal silhouette and elevated right hemidiaphragm. No pleural effusion or pneumothorax. | New increased opacity at the right lung base could represent aspiration. | opacity | Right lung base | New | ['files/p10/p10386562/s59995673/523499f4-2a486239-e7d19a50-a9483650-473f0937.jpg'] | ['files/p10/p10386562/s59672745/5de404bc-bee62b6f-07455884-eaf31726-346cd34b.jpg\n', 'files/p10/p10386562/s59672745/fd09ee39-0e58ab3e-aae6450b-6b1f3cb1-44a731f7.jpg\n'] |
s59995673_4 | p10386562 | s59995673 | 4 | Findings | Multiple calcified pleural plaques are unchanged from yesterday. New increased opacity at the right lung base could represent aspiration. Indistinctness of the pulmonary vasculature is consistent with pulmonary vascular congestion. Stable appearance of the cardiomediastinal silhouette and elevated right hemidiaphragm. No pleural effusion or pneumothorax. | Multiple calcified pleural plaques are unchanged from yesterday. | Multiple calcified pleural plaques | null | Stable | ['files/p10/p10386562/s59995673/523499f4-2a486239-e7d19a50-a9483650-473f0937.jpg'] | ['files/p10/p10386562/s59672745/5de404bc-bee62b6f-07455884-eaf31726-346cd34b.jpg\n', 'files/p10/p10386562/s59672745/fd09ee39-0e58ab3e-aae6450b-6b1f3cb1-44a731f7.jpg\n'] |
s59995673_4 | p10386562 | s59995673 | 4 | Impression | New right lower lung opacity could represent aspiration. Telephone notification to Dr. ___ by Dr. ___ at 11:07 on ___. | New right lower lung opacity could represent aspiration. | opacity | Right lower lung | New | ['files/p10/p10386562/s59995673/523499f4-2a486239-e7d19a50-a9483650-473f0937.jpg'] | ['files/p10/p10386562/s59672745/5de404bc-bee62b6f-07455884-eaf31726-346cd34b.jpg\n', 'files/p10/p10386562/s59672745/fd09ee39-0e58ab3e-aae6450b-6b1f3cb1-44a731f7.jpg\n'] |
s59995673_4 | p10386562 | s59995673 | 4 | Findings | Multiple calcified pleural plaques are unchanged from yesterday. New increased opacity at the right lung base could represent aspiration. Indistinctness of the pulmonary vasculature is consistent with pulmonary vascular congestion. Stable appearance of the cardiomediastinal silhouette and elevated right hemidiaphragm. No pleural effusion or pneumothorax. | Stable appearance of the cardiomediastinal silhouette and elevated right hemidiaphragm. | hemidiaphragm | Right | Stable | ['files/p10/p10386562/s59995673/523499f4-2a486239-e7d19a50-a9483650-473f0937.jpg'] | ['files/p10/p10386562/s59672745/5de404bc-bee62b6f-07455884-eaf31726-346cd34b.jpg\n', 'files/p10/p10386562/s59672745/fd09ee39-0e58ab3e-aae6450b-6b1f3cb1-44a731f7.jpg\n'] |
s59995673_4 | p10386562 | s59995673 | 4 | Findings | Multiple calcified pleural plaques are unchanged from yesterday. New increased opacity at the right lung base could represent aspiration. Indistinctness of the pulmonary vasculature is consistent with pulmonary vascular congestion. Stable appearance of the cardiomediastinal silhouette and elevated right hemidiaphragm. No pleural effusion or pneumothorax. | Stable appearance of the cardiomediastinal silhouette and elevated right hemidiaphragm. | cardiomediastinal silhouette | null | Stable | ['files/p10/p10386562/s59995673/523499f4-2a486239-e7d19a50-a9483650-473f0937.jpg'] | ['files/p10/p10386562/s59672745/5de404bc-bee62b6f-07455884-eaf31726-346cd34b.jpg\n', 'files/p10/p10386562/s59672745/fd09ee39-0e58ab3e-aae6450b-6b1f3cb1-44a731f7.jpg\n'] |
s59995675_0 | p19746673 | s59995675 | 0 | Findings | As compared to the previous radiograph, the pre-existing right pleural effusion has substantially decreased in extent. However, a plate-like atelectasis is present on the right and minimal atelectasis is also seen on the left lung bases. The size of the cardiac silhouette is mildly enlarged. There is no evidence of pulmonary edema. The patient carries a right-sided PICC line. The tip of the line projects over the right atrium, the line could be pulled back by approximately 2 to 3 cm to ensure position in the mid to lower SVC. No evidence of pneumothorax. | As compared to the previous radiograph, the pre-existing right pleural effusion has substantially decreased in extent. | pleural effusion | right | Better | ['files/p19/p19746673/s59995675/2e804169-0b0b2f40-bfa2453e-ce5dda8e-dfdd1caf.jpg'] | ['files/p19/p19746673/s59906884/7fd6081d-16c0f908-dc434811-fc54b937-2c7d3eae.jpg\n', 'files/p19/p19746673/s59906884/951bf01f-f5f75be3-b628ce53-7cac6756-6a9439f8.jpg\n'] |
s59995754_20 | p16431831 | s59995754 | 20 | Impression | As compared to the previous radiograph, the right pigtail catheter was removed from the pleural space. There is a small apical lateral right-sided pneumothorax, limited to the apical lateral parts of the hemi thorax. Close radiographic monitoring should be performed. No other relevant changes are noted. The other monitoring and support devices are in constant position. Moderate cardiomegaly and bilateral parenchymal opacities at the lung bases persist. | Moderate cardiomegaly and bilateral parenchymal opacities at the lung bases persist. | parenchymal opacities at the lung bases | bilateral | Stable | ['files/p16/p16431831/s59995754/786db7f1-bb1d7205-056e4b5c-204b4322-d8c51eea.jpg'] | ['files/p16/p16431831/s59239822/6bb3a8a5-290e210e-77d9c2e8-6c5d74e8-5d2b9a37.jpg\n'] |
s59995754_20 | p16431831 | s59995754 | 20 | Impression | As compared to the previous radiograph, the right pigtail catheter was removed from the pleural space. There is a small apical lateral right-sided pneumothorax, limited to the apical lateral parts of the hemi thorax. Close radiographic monitoring should be performed. No other relevant changes are noted. The other monitoring and support devices are in constant position. Moderate cardiomegaly and bilateral parenchymal opacities at the lung bases persist. | As compared to the previous radiograph, the right pigtail catheter was removed from the pleural space. | pigtail catheter | right | Resolve | ['files/p16/p16431831/s59995754/786db7f1-bb1d7205-056e4b5c-204b4322-d8c51eea.jpg'] | ['files/p16/p16431831/s59239822/6bb3a8a5-290e210e-77d9c2e8-6c5d74e8-5d2b9a37.jpg\n'] |
s59995754_20 | p16431831 | s59995754 | 20 | Impression | As compared to the previous radiograph, the right pigtail catheter was removed from the pleural space. There is a small apical lateral right-sided pneumothorax, limited to the apical lateral parts of the hemi thorax. Close radiographic monitoring should be performed. No other relevant changes are noted. The other monitoring and support devices are in constant position. Moderate cardiomegaly and bilateral parenchymal opacities at the lung bases persist. | Moderate cardiomegaly and bilateral parenchymal opacities at the lung bases persist. | moderate cardiomegaly | null | Stable | ['files/p16/p16431831/s59995754/786db7f1-bb1d7205-056e4b5c-204b4322-d8c51eea.jpg'] | ['files/p16/p16431831/s59239822/6bb3a8a5-290e210e-77d9c2e8-6c5d74e8-5d2b9a37.jpg\n'] |
s59995754_20 | p16431831 | s59995754 | 20 | Impression | As compared to the previous radiograph, the right pigtail catheter was removed from the pleural space. There is a small apical lateral right-sided pneumothorax, limited to the apical lateral parts of the hemi thorax. Close radiographic monitoring should be performed. No other relevant changes are noted. The other monitoring and support devices are in constant position. Moderate cardiomegaly and bilateral parenchymal opacities at the lung bases persist. | The other monitoring and support devices are in constant position. | monitoring and support devices | null | Stable | ['files/p16/p16431831/s59995754/786db7f1-bb1d7205-056e4b5c-204b4322-d8c51eea.jpg'] | ['files/p16/p16431831/s59239822/6bb3a8a5-290e210e-77d9c2e8-6c5d74e8-5d2b9a37.jpg\n'] |
s59995791_21 | p17071904 | s59995791 | 21 | Impression | The lung volumes are normal. The monitoring and support devices are constant. Minimal increase in radiodensity at the right lung bases, likely caused by a a minimal right pleural effusion. On the left, the lung is better ventilated than on the previous image. Unchanged size of the cardiac silhouette. | Unchanged size of the cardiac silhouette. | cardiac silhouette | null | Stable | ['files/p17/p17071904/s59995791/80ae3334-3581b020-910940b6-28e7c19c-af9a1ba1.jpg'] | ['files/p17/p17071904/s59159283/649069c2-837d553d-f1ccbeea-b58ca544-dd794fe5.jpg\n'] |
s59995791_21 | p17071904 | s59995791 | 21 | Impression | The lung volumes are normal. The monitoring and support devices are constant. Minimal increase in radiodensity at the right lung bases, likely caused by a a minimal right pleural effusion. On the left, the lung is better ventilated than on the previous image. Unchanged size of the cardiac silhouette. | Minimal increase in radiodensity at the right lung bases, likely caused by a minimal right pleural effusion. | radiodensity | right lung bases | Worse | ['files/p17/p17071904/s59995791/80ae3334-3581b020-910940b6-28e7c19c-af9a1ba1.jpg'] | ['files/p17/p17071904/s59159283/649069c2-837d553d-f1ccbeea-b58ca544-dd794fe5.jpg\n'] |
s59995791_21 | p17071904 | s59995791 | 21 | Impression | The lung volumes are normal. The monitoring and support devices are constant. Minimal increase in radiodensity at the right lung bases, likely caused by a a minimal right pleural effusion. On the left, the lung is better ventilated than on the previous image. Unchanged size of the cardiac silhouette. | The monitoring and support devices are constant. | monitoring and support devices | null | Stable | ['files/p17/p17071904/s59995791/80ae3334-3581b020-910940b6-28e7c19c-af9a1ba1.jpg'] | ['files/p17/p17071904/s59159283/649069c2-837d553d-f1ccbeea-b58ca544-dd794fe5.jpg\n'] |
s59995791_21 | p17071904 | s59995791 | 21 | Impression | The lung volumes are normal. The monitoring and support devices are constant. Minimal increase in radiodensity at the right lung bases, likely caused by a a minimal right pleural effusion. On the left, the lung is better ventilated than on the previous image. Unchanged size of the cardiac silhouette. | On the left, the lung is better ventilated than on the previous image. | lung ventilation | left | Better | ['files/p17/p17071904/s59995791/80ae3334-3581b020-910940b6-28e7c19c-af9a1ba1.jpg'] | ['files/p17/p17071904/s59159283/649069c2-837d553d-f1ccbeea-b58ca544-dd794fe5.jpg\n'] |
s59995819_13 | p12726753 | s59995819 | 13 | Impression | ETT is 6 cm above the carina. Heart size is mildly enlarged, unchanged. Bilateral linear areas of atelectasis are unchanged. Upper lungs are clear. No appreciable pleural effusion or pneumothorax. No pulmonary edema. | Bilateral linear areas of atelectasis are unchanged. | atelectasis | bilateral | Stable | ['files/p12/p12726753/s59995819/39367887-e28bee50-2a61e3e7-68ffca46-a3bde68c.jpg'] | ['files/p12/p12726753/s59466089/17ca4271-1c55622b-439e84b3-a559a5ac-e86f176d.jpg\n', 'files/p12/p12726753/s59466089/ec6c5056-83a06f80-2c092168-a2eeed87-f4115ec1.jpg\n'] |
s59995819_13 | p12726753 | s59995819 | 13 | Impression | ETT is 6 cm above the carina. Heart size is mildly enlarged, unchanged. Bilateral linear areas of atelectasis are unchanged. Upper lungs are clear. No appreciable pleural effusion or pneumothorax. No pulmonary edema. | Heart size is mildly enlarged, unchanged. | heart size | null | Stable | ['files/p12/p12726753/s59995819/39367887-e28bee50-2a61e3e7-68ffca46-a3bde68c.jpg'] | ['files/p12/p12726753/s59466089/17ca4271-1c55622b-439e84b3-a559a5ac-e86f176d.jpg\n', 'files/p12/p12726753/s59466089/ec6c5056-83a06f80-2c092168-a2eeed87-f4115ec1.jpg\n'] |
s59996034_2 | p10177927 | s59996034 | 2 | Findings | Slightly lower lung volumes seen on the current exam. Streaky bibasilar opacities may be secondary to atelectasis. There is possible small right pleural effusion as previously-seen. There is mild pulmonary vascular congestion. Cardiac enlargement is stable. No acute osseous abnormalities. | There is possible small right pleural effusion as previously-seen. | Pleural effusion | Right | Stable | ['files/p10/p10177927/s59996034/aaae8c1a-c407093b-18ed8a59-01c3fcf4-58641422.jpg'] | ['files/p10/p10177927/s56859022/58f3f186-6bf2e755-a8b3e86e-e6b043fc-7a10b8bd.jpg\n', 'files/p10/p10177927/s56859022/95e9877a-a739920f-41f97a6e-9a0fbaa0-4e0ffdfb.jpg\n'] |
s59996034_2 | p10177927 | s59996034 | 2 | Findings | Slightly lower lung volumes seen on the current exam. Streaky bibasilar opacities may be secondary to atelectasis. There is possible small right pleural effusion as previously-seen. There is mild pulmonary vascular congestion. Cardiac enlargement is stable. No acute osseous abnormalities. | Cardiac enlargement is stable. | Enlargement | Cardiac | Stable | ['files/p10/p10177927/s59996034/aaae8c1a-c407093b-18ed8a59-01c3fcf4-58641422.jpg'] | ['files/p10/p10177927/s56859022/58f3f186-6bf2e755-a8b3e86e-e6b043fc-7a10b8bd.jpg\n', 'files/p10/p10177927/s56859022/95e9877a-a739920f-41f97a6e-9a0fbaa0-4e0ffdfb.jpg\n'] |
s59996140_2 | p13864291 | s59996140 | 2 | Findings | Cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Streaky opacities at the lung bases indicate minor, unchanged sites of scarring. Otherwise, the lungs appear clear. A nasogastric tube courses into the stomach and terminates to the right of midline. There is no free air. | Cardiac, mediastinal and hilar contours appear stable. | Contours | Cardiac, mediastinal, hilar | Stable | ['files/p13/p13864291/s59996140/2121d433-f1bf3341-1e848d72-3179779c-d1dd8b85.jpg'] | ['files/p13/p13864291/s54701564/f5eef28e-52fa3fbb-2e4141a6-544c284f-7594ae70.jpg\n', 'files/p13/p13864291/s54701564/fa42ed4f-19b83e7f-2658a3a7-dce18d5e-91aafa5d.jpg\n'] |
s59996140_2 | p13864291 | s59996140 | 2 | Findings | Cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Streaky opacities at the lung bases indicate minor, unchanged sites of scarring. Otherwise, the lungs appear clear. A nasogastric tube courses into the stomach and terminates to the right of midline. There is no free air. | Streaky opacities at the lung bases indicate minor, unchanged sites of scarring. | Streaky opacities | Lung bases | Stable | ['files/p13/p13864291/s59996140/2121d433-f1bf3341-1e848d72-3179779c-d1dd8b85.jpg'] | ['files/p13/p13864291/s54701564/f5eef28e-52fa3fbb-2e4141a6-544c284f-7594ae70.jpg\n', 'files/p13/p13864291/s54701564/fa42ed4f-19b83e7f-2658a3a7-dce18d5e-91aafa5d.jpg\n'] |
s59996157_2 | p19078274 | s59996157 | 2 | Findings | Cardiac silhouette size is top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Minimal patchy opacity within the right lower lobe appears new in the interval, concerning for infection. Left lung is clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized. | Minimal patchy opacity within the right lower lobe appears new in the interval, concerning for infection. | patchy opacity | right lower lobe | New | ['files/p19/p19078274/s59996157/4bde6cd2-8559d4d1-948dc457-38182f41-2264a9e6.jpg', 'files/p19/p19078274/s59996157/8da78e64-016f4f12-4feecb0b-7b88988e-837b64fd.jpg'] | ['files/p19/p19078274/s53530340/500568fb-b51081b4-5bcca244-5743e77e-b4b4780d.jpg\n', 'files/p19/p19078274/s53530340/ab239020-e1721e14-a491de82-4567c11c-31598b71.jpg\n'] |
s59996167_6 | p15937387 | s59996167 | 6 | Findings | Comparison is made to previous study from ___. There has been no interval change in the airspace opacities at the lung bases, right worse than left. This likely represents developing pneumonia within the background of known bronchioalveolar carcinoma. Heart size is within normal limits. There are no pneumothoraces. | There has been no interval change in the airspace opacities at the lung bases, right worse than left. | airspace opacities | lung bases, right worse than left | Stable | ['files/p15/p15937387/s59996167/59f35684-06d41133-483c02e1-3ae8948b-a16e800f.jpg'] | ['files/p15/p15937387/s58484742/4aad011d-90f4c315-3c9e585c-260fc638-d61f9818.jpg\n', 'files/p15/p15937387/s58484742/8941af38-718f6cd1-7ec08422-e44883f6-44d16180.jpg\n', 'files/p15/p15937387/s58484742/92490bf6-5464683d-6fc26aaf-2dd870b1-5bb281a4.jpg\n'] |
s59996306_1 | p10501066 | s59996306 | 1 | Findings | In comparison with study of ___, the monitoring and support devices remain in place. There are bilateral chest tubes without definite pneumothorax. Bilateral pulmonary opacifications are stable. | Bilateral pulmonary opacifications are stable. | pulmonary opacifications | bilateral | Stable | ['files/p10/p10501066/s59996306/5ce12aa9-155080c6-74b31ab2-62d5151c-cc2cccfd.jpg'] | ['files/p10/p10501066/s59910781/6c4671cb-14bdccee-c1814709-feab8d59-0ef6f38c.jpg\n', 'files/p10/p10501066/s59910781/e8c141bb-9d94fb99-92c10063-cc5daee1-07d4ce54.jpg\n'] |
s59996306_1 | p10501066 | s59996306 | 1 | Findings | In comparison with study of ___, the monitoring and support devices remain in place. There are bilateral chest tubes without definite pneumothorax. Bilateral pulmonary opacifications are stable. | In comparison with study of ___, the monitoring and support devices remain in place. | monitoring and support devices | null | Stable | ['files/p10/p10501066/s59996306/5ce12aa9-155080c6-74b31ab2-62d5151c-cc2cccfd.jpg'] | ['files/p10/p10501066/s59910781/6c4671cb-14bdccee-c1814709-feab8d59-0ef6f38c.jpg\n', 'files/p10/p10501066/s59910781/e8c141bb-9d94fb99-92c10063-cc5daee1-07d4ce54.jpg\n'] |
s59996334_1 | p12962644 | s59996334 | 1 | Impression | AP chest compared to ___: Generalized pulmonary vascular engorgement is new and the heart size larger, though still within normal limits. Mediastinal veins are also dilated, findings pointing to volume overload and/or biventricular decompensation. | AP chest compared to ___: Generalized pulmonary vascular engorgement is new and the heart size larger, though still within normal limits. Mediastinal veins are also dilated, findings pointing to volume overload and/or biventricular decompensation. | Veins Dilated | Mediastinal | New | ['files/p12/p12962644/s59996334/3bf61d8d-56e3a598-a8661b3a-478ed004-c40dd6a9.jpg'] | ['files/p12/p12962644/s59393953/9f48346e-db4a260d-02246763-15d0cfa3-66c70478.jpg\n'] |
s59996334_1 | p12962644 | s59996334 | 1 | Impression | AP chest compared to ___: Generalized pulmonary vascular engorgement is new and the heart size larger, though still within normal limits. Mediastinal veins are also dilated, findings pointing to volume overload and/or biventricular decompensation. | AP chest compared to ___: Generalized pulmonary vascular engorgement is new and the heart size larger, though still within normal limits. Mediastinal veins are also dilated, findings pointing to volume overload and/or biventricular decompensation. | Vascular Engorgement | Pulmonary | New | ['files/p12/p12962644/s59996334/3bf61d8d-56e3a598-a8661b3a-478ed004-c40dd6a9.jpg'] | ['files/p12/p12962644/s59393953/9f48346e-db4a260d-02246763-15d0cfa3-66c70478.jpg\n'] |
s59996378_100 | p15936063 | s59996378 | 100 | Impression | As compared to the previous radiograph, a left pleural effusion has minimally increased. The pre-existing previously minimal right pleural effusion has massively increased. Mild to moderate pulmonary edema is now present. Bilateral areas of atelectasis. Right PICC line and tracheostomy tube in unchanged position. | The pre-existing previously minimal right pleural effusion has massively increased. | pleural effusion | right | Worse | ['files/p15/p15936063/s59996378/7a2886d3-a43e21eb-a8f6fdf6-58415367-cd61797b.jpg'] | ['files/p15/p15936063/s59942103/db59b0fa-c2a19aa7-e7dc8faa-b19c4994-a8eb2cae.jpg\n'] |
s59996378_100 | p15936063 | s59996378 | 100 | Impression | As compared to the previous radiograph, a left pleural effusion has minimally increased. The pre-existing previously minimal right pleural effusion has massively increased. Mild to moderate pulmonary edema is now present. Bilateral areas of atelectasis. Right PICC line and tracheostomy tube in unchanged position. | Right PICC line and tracheostomy tube in unchanged position. | PICC line | right | Stable | ['files/p15/p15936063/s59996378/7a2886d3-a43e21eb-a8f6fdf6-58415367-cd61797b.jpg'] | ['files/p15/p15936063/s59942103/db59b0fa-c2a19aa7-e7dc8faa-b19c4994-a8eb2cae.jpg\n'] |
s59996378_100 | p15936063 | s59996378 | 100 | Impression | As compared to the previous radiograph, a left pleural effusion has minimally increased. The pre-existing previously minimal right pleural effusion has massively increased. Mild to moderate pulmonary edema is now present. Bilateral areas of atelectasis. Right PICC line and tracheostomy tube in unchanged position. | Right PICC line and tracheostomy tube in unchanged position. | tube | tracheostomy | Stable | ['files/p15/p15936063/s59996378/7a2886d3-a43e21eb-a8f6fdf6-58415367-cd61797b.jpg'] | ['files/p15/p15936063/s59942103/db59b0fa-c2a19aa7-e7dc8faa-b19c4994-a8eb2cae.jpg\n'] |
s59996378_100 | p15936063 | s59996378 | 100 | Impression | As compared to the previous radiograph, a left pleural effusion has minimally increased. The pre-existing previously minimal right pleural effusion has massively increased. Mild to moderate pulmonary edema is now present. Bilateral areas of atelectasis. Right PICC line and tracheostomy tube in unchanged position. | As compared to the previous radiograph, a left pleural effusion has minimally increased. | pleural effusion | left | Worse | ['files/p15/p15936063/s59996378/7a2886d3-a43e21eb-a8f6fdf6-58415367-cd61797b.jpg'] | ['files/p15/p15936063/s59942103/db59b0fa-c2a19aa7-e7dc8faa-b19c4994-a8eb2cae.jpg\n'] |
s59996387_2 | p14415578 | s59996387 | 2 | Impression | Significant interval decrease in mediastinal lymphadenopathy. Lateral left upper lobe opacities seen on recent prior G chest CT was better assessed on CT. ___, MD | Significant interval decrease in mediastinal lymphadenopathy. | lymphadenopathy | mediastinal | Better | ['files/p14/p14415578/s59996387/00309c23-2a30d10d-a3b74633-0ddc9fd7-f38d989d.jpg', 'files/p14/p14415578/s59996387/973bf922-30151e8b-19a5e064-5c2b4755-53a0a92b.jpg'] | ['files/p14/p14415578/s58063311/f8e2a637-a40472e0-1924504d-5020377d-879fcb0d.jpg\n'] |
s59996387_2 | p14415578 | s59996387 | 2 | Findings | Right-sided Port-A-Cath terminates at the low SVC without evidence of pneumothorax. Since the prior radiograph study, there has been interval significant decrease in mediastinal adenopathy/soft tissue. Peripheral left upper lobe opacity seen on recent prior chest CT from ___ and is was better assessed on chest CT ; it is not as well seen on this study, but likely present. No definite new focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac silhouette size is top-normal. | Since the prior radiograph study, there has been interval significant decrease in mediastinal adenopathy/soft tissue. | adenopathy/soft tissue | mediastinal | Better | ['files/p14/p14415578/s59996387/00309c23-2a30d10d-a3b74633-0ddc9fd7-f38d989d.jpg', 'files/p14/p14415578/s59996387/973bf922-30151e8b-19a5e064-5c2b4755-53a0a92b.jpg'] | ['files/p14/p14415578/s58063311/f8e2a637-a40472e0-1924504d-5020377d-879fcb0d.jpg\n'] |
s59996457_7 | p19131119 | s59996457 | 7 | Findings | The cardiac silhouette size is normal. The aortic knob is calcified. The mediastinal and hilar contours are within normal limits. The previous pattern of pulmonary edema has resolved. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is identified. Several clips are demonstrated within the left upper quadrant of the abdomen. | The previous pattern of pulmonary edema has resolved. | edema | pulmonary | Resolve | ['files/p19/p19131119/s59996457/8d6ff7f3-a2216a0f-b2cfb6ea-868d0d60-873229ab.jpg', 'files/p19/p19131119/s59996457/b7775700-408811ed-2094d977-e73925e4-1c24d883.jpg'] | ['files/p19/p19131119/s59917136/146991b2-5a5c28ba-decd4fde-b8d1ee0e-63201071.jpg\n', 'files/p19/p19131119/s59917136/93c095d8-8c4328d3-02c5800f-e5be83ac-aaccb91c.jpg\n'] |
s59996492_39 | p14634306 | s59996492 | 39 | Impression | In comparison with the study of ___, there again are low lung volumes that accentuate the prominence of the transverse diameter of the heart. The degree of pulmonary edema is stable, as are the bilateral pleural effusions with compressive basilar atelectasis on both sides. Opacification in the retrocardiac region is consistent with volume loss in the left lower lobe. An area of apparent opacification just above the minor fissure laterally is not appreciated at the current time. | The degree of pulmonary edema is stable, as are the bilateral pleural effusions with compressive basilar atelectasis on both sides. | pleural effusions | bilateral | Stable | ['files/p14/p14634306/s59996492/3b7b7446-3134a820-0e707515-0502b8f4-96998024.jpg'] | ['files/p14/p14634306/s59796229/77c299f1-05e5d94c-94444c8f-253048cc-eb8df959.jpg\n'] |
s59996492_39 | p14634306 | s59996492 | 39 | Impression | In comparison with the study of ___, there again are low lung volumes that accentuate the prominence of the transverse diameter of the heart. The degree of pulmonary edema is stable, as are the bilateral pleural effusions with compressive basilar atelectasis on both sides. Opacification in the retrocardiac region is consistent with volume loss in the left lower lobe. An area of apparent opacification just above the minor fissure laterally is not appreciated at the current time. | The degree of pulmonary edema is stable, as are the bilateral pleural effusions with compressive basilar atelectasis on both sides. | pulmonary edema | null | Stable | ['files/p14/p14634306/s59996492/3b7b7446-3134a820-0e707515-0502b8f4-96998024.jpg'] | ['files/p14/p14634306/s59796229/77c299f1-05e5d94c-94444c8f-253048cc-eb8df959.jpg\n'] |
s59996492_39 | p14634306 | s59996492 | 39 | Impression | In comparison with the study of ___, there again are low lung volumes that accentuate the prominence of the transverse diameter of the heart. The degree of pulmonary edema is stable, as are the bilateral pleural effusions with compressive basilar atelectasis on both sides. Opacification in the retrocardiac region is consistent with volume loss in the left lower lobe. An area of apparent opacification just above the minor fissure laterally is not appreciated at the current time. | In comparison with the study of ___, there again are low lung volumes that accentuate the prominence of the transverse diameter of the heart. | low lung volumes | null | Stable | ['files/p14/p14634306/s59996492/3b7b7446-3134a820-0e707515-0502b8f4-96998024.jpg'] | ['files/p14/p14634306/s59796229/77c299f1-05e5d94c-94444c8f-253048cc-eb8df959.jpg\n'] |
s59996492_39 | p14634306 | s59996492 | 39 | Impression | In comparison with the study of ___, there again are low lung volumes that accentuate the prominence of the transverse diameter of the heart. The degree of pulmonary edema is stable, as are the bilateral pleural effusions with compressive basilar atelectasis on both sides. Opacification in the retrocardiac region is consistent with volume loss in the left lower lobe. An area of apparent opacification just above the minor fissure laterally is not appreciated at the current time. | The degree of pulmonary edema is stable, as are the bilateral pleural effusions with compressive basilar atelectasis on both sides. | atelectasis | basilar | Stable | ['files/p14/p14634306/s59996492/3b7b7446-3134a820-0e707515-0502b8f4-96998024.jpg'] | ['files/p14/p14634306/s59796229/77c299f1-05e5d94c-94444c8f-253048cc-eb8df959.jpg\n'] |
s59996644_17 | p10314359 | s59996644 | 17 | Impression | In comparison with the study of ___, the endotracheal tube is been removed and replaced with a tracheostomy tube. Continued low lung volumes may be responsible for much of the prominence of the mediastinum and cardiac silhouette. Indistinctness of pulmonary vessels is consistent with elevated pulmonary venous pressure. Poor definition of the hemidiaphragms with blunting of the costophrenic angles suggests small effusions and basilar atelectasis. | In comparison with the study of ___, the endotracheal tube is been removed and replaced with a tracheostomy tube. | endotracheal tube | null | Resolve | ['files/p10/p10314359/s59996644/41b8d979-9c24e5df-d4e1a1c6-a583ac8e-5b981558.jpg'] | ['files/p10/p10314359/s59926025/b14f73ac-90e33780-1f6d9388-3a9f5588-99f04228.jpg\n'] |
s59996979_3 | p19346228 | s59996979 | 3 | Findings | Heart size is normal, and unchanged. The mediastinal and hilar contours are stable. Pulmonary vascularity is not engorged. There are linear opacities within the left lung base which are unchanged, likely reflective of scarring or atelectasis. Suture material is seen projecting over the right upper/mid lung field. No focal consolidation, pleural effusion or pneumothorax is present. There are multilevel degenerative changes in the thoracic spine along with S-shaped scoliosis. | The mediastinal and hilar contours are stable. | contours | mediastinal and hilar | Stable | ['files/p19/p19346228/s59996979/9cd9669c-3f8ac984-71bb4064-8d1d3b40-d4b565a4.jpg', 'files/p19/p19346228/s59996979/fcb77615-ceca521c-c8e4d028-0d294832-b97b7d77.jpg'] | ['files/p19/p19346228/s59618307/2e08e510-6ccc787f-e64cc25c-49044297-289d6013.jpg\n', 'files/p19/p19346228/s59618307/aa9ccc72-e54ca54d-575fbeeb-cbfb58e5-5c83dfd3.jpg\n'] |
s59996979_3 | p19346228 | s59996979 | 3 | Findings | Heart size is normal, and unchanged. The mediastinal and hilar contours are stable. Pulmonary vascularity is not engorged. There are linear opacities within the left lung base which are unchanged, likely reflective of scarring or atelectasis. Suture material is seen projecting over the right upper/mid lung field. No focal consolidation, pleural effusion or pneumothorax is present. There are multilevel degenerative changes in the thoracic spine along with S-shaped scoliosis. | Heart size is normal, and unchanged. | Heart size | null | Stable | ['files/p19/p19346228/s59996979/9cd9669c-3f8ac984-71bb4064-8d1d3b40-d4b565a4.jpg', 'files/p19/p19346228/s59996979/fcb77615-ceca521c-c8e4d028-0d294832-b97b7d77.jpg'] | ['files/p19/p19346228/s59618307/2e08e510-6ccc787f-e64cc25c-49044297-289d6013.jpg\n', 'files/p19/p19346228/s59618307/aa9ccc72-e54ca54d-575fbeeb-cbfb58e5-5c83dfd3.jpg\n'] |
s59996979_3 | p19346228 | s59996979 | 3 | Findings | Heart size is normal, and unchanged. The mediastinal and hilar contours are stable. Pulmonary vascularity is not engorged. There are linear opacities within the left lung base which are unchanged, likely reflective of scarring or atelectasis. Suture material is seen projecting over the right upper/mid lung field. No focal consolidation, pleural effusion or pneumothorax is present. There are multilevel degenerative changes in the thoracic spine along with S-shaped scoliosis. | There are linear opacities within the left lung base which are unchanged, likely reflective of scarring or atelectasis. | linear opacities | left lung base | Stable | ['files/p19/p19346228/s59996979/9cd9669c-3f8ac984-71bb4064-8d1d3b40-d4b565a4.jpg', 'files/p19/p19346228/s59996979/fcb77615-ceca521c-c8e4d028-0d294832-b97b7d77.jpg'] | ['files/p19/p19346228/s59618307/2e08e510-6ccc787f-e64cc25c-49044297-289d6013.jpg\n', 'files/p19/p19346228/s59618307/aa9ccc72-e54ca54d-575fbeeb-cbfb58e5-5c83dfd3.jpg\n'] |
s59996996_2 | p14800685 | s59996996 | 2 | Findings | In comparison with study of ___, the endotracheal tube appears to have been removed. Nasogastric tube extends to the lower stomach, where it coils on itself so that the tip lies pointing upward at the level of the esophagogastric junction. This information has been conveyed to Dr. ___. Increased opacification at the bases with silhouetting of the hemidiaphragm is consistent with pleural effusions and volume loss in the lower lobes. Cardiac silhouette remains within normal limits. | In comparison with study of ___, the endotracheal tube appears to have been removed. | endotracheal tube | null | Resolve | ['files/p14/p14800685/s59996996/007fdd2e-aee2821b-e88b1dfe-7a433398-1cbe74c7.jpg'] | ['files/p14/p14800685/s59221700/a5f3c21b-25527953-f4a9efe6-449924cf-4b6898aa.jpg\n'] |
s59996996_2 | p14800685 | s59996996 | 2 | Findings | In comparison with study of ___, the endotracheal tube appears to have been removed. Nasogastric tube extends to the lower stomach, where it coils on itself so that the tip lies pointing upward at the level of the esophagogastric junction. This information has been conveyed to Dr. ___. Increased opacification at the bases with silhouetting of the hemidiaphragm is consistent with pleural effusions and volume loss in the lower lobes. Cardiac silhouette remains within normal limits. | Increased opacification at the bases with silhouetting of the hemidiaphragm is consistent with pleural effusions and volume loss in the lower lobes. | opacification | bases | Worse | ['files/p14/p14800685/s59996996/007fdd2e-aee2821b-e88b1dfe-7a433398-1cbe74c7.jpg'] | ['files/p14/p14800685/s59221700/a5f3c21b-25527953-f4a9efe6-449924cf-4b6898aa.jpg\n'] |
s59996996_2 | p14800685 | s59996996 | 2 | Findings | In comparison with study of ___, the endotracheal tube appears to have been removed. Nasogastric tube extends to the lower stomach, where it coils on itself so that the tip lies pointing upward at the level of the esophagogastric junction. This information has been conveyed to Dr. ___. Increased opacification at the bases with silhouetting of the hemidiaphragm is consistent with pleural effusions and volume loss in the lower lobes. Cardiac silhouette remains within normal limits. | Cardiac silhouette remains within normal limits. | null | Cardiac silhouette | Stable | ['files/p14/p14800685/s59996996/007fdd2e-aee2821b-e88b1dfe-7a433398-1cbe74c7.jpg'] | ['files/p14/p14800685/s59221700/a5f3c21b-25527953-f4a9efe6-449924cf-4b6898aa.jpg\n'] |
s59997110_41 | p14873669 | s59997110 | 41 | Impression | Interval intubation with the tip of the endotracheal tube at the proximal orifice of the right mainstem bronchus. Pullback of approximately 3 cm would be advised. The right internal jugular central is unchanged with its tip in the proximal SVC. The right hemidiaphragm remains elevated of uncertain significance. Lungs appear well inflated without evidence of focal airspace consolidation, pulmonary edema, pleural effusions or pneumothorax. Interval placement of a nasogastric tube which courses below the diaphragm with the tip not identified on this study. ___, the coordinator in the SICU, was notified of the need to pull back the endotracheal tube on ___ at 3:30 p.m. She will be informing the patient's nurse who was unavailable at the time of the phone call. | Interval intubation with the tip of the endotracheal tube at the proximal orifice of the right mainstem bronchus. | endotracheal tube | proximal orifice of the right mainstem bronchus | New | ['files/p14/p14873669/s59997110/5a3b432a-75176417-6b6cfabd-6fe1c439-3b0b8cf6.jpg'] | ['files/p14/p14873669/s59899532/51450a7a-b894828a-89100d10-1480a99f-a83a8c9b.jpg\n'] |
s59997110_41 | p14873669 | s59997110 | 41 | Impression | Interval intubation with the tip of the endotracheal tube at the proximal orifice of the right mainstem bronchus. Pullback of approximately 3 cm would be advised. The right internal jugular central is unchanged with its tip in the proximal SVC. The right hemidiaphragm remains elevated of uncertain significance. Lungs appear well inflated without evidence of focal airspace consolidation, pulmonary edema, pleural effusions or pneumothorax. Interval placement of a nasogastric tube which courses below the diaphragm with the tip not identified on this study. ___, the coordinator in the SICU, was notified of the need to pull back the endotracheal tube on ___ at 3:30 p.m. She will be informing the patient's nurse who was unavailable at the time of the phone call. | The right internal jugular central is unchanged with its tip in the proximal SVC. | right internal jugular central | proximal SVC | Stable | ['files/p14/p14873669/s59997110/5a3b432a-75176417-6b6cfabd-6fe1c439-3b0b8cf6.jpg'] | ['files/p14/p14873669/s59899532/51450a7a-b894828a-89100d10-1480a99f-a83a8c9b.jpg\n'] |
s59997110_41 | p14873669 | s59997110 | 41 | Impression | Interval intubation with the tip of the endotracheal tube at the proximal orifice of the right mainstem bronchus. Pullback of approximately 3 cm would be advised. The right internal jugular central is unchanged with its tip in the proximal SVC. The right hemidiaphragm remains elevated of uncertain significance. Lungs appear well inflated without evidence of focal airspace consolidation, pulmonary edema, pleural effusions or pneumothorax. Interval placement of a nasogastric tube which courses below the diaphragm with the tip not identified on this study. ___, the coordinator in the SICU, was notified of the need to pull back the endotracheal tube on ___ at 3:30 p.m. She will be informing the patient's nurse who was unavailable at the time of the phone call. | Interval placement of a nasogastric tube which courses below the diaphragm with the tip not identified on this study. | nasogastric tube | below the diaphragm | New | ['files/p14/p14873669/s59997110/5a3b432a-75176417-6b6cfabd-6fe1c439-3b0b8cf6.jpg'] | ['files/p14/p14873669/s59899532/51450a7a-b894828a-89100d10-1480a99f-a83a8c9b.jpg\n'] |
s59997110_41 | p14873669 | s59997110 | 41 | Impression | Interval intubation with the tip of the endotracheal tube at the proximal orifice of the right mainstem bronchus. Pullback of approximately 3 cm would be advised. The right internal jugular central is unchanged with its tip in the proximal SVC. The right hemidiaphragm remains elevated of uncertain significance. Lungs appear well inflated without evidence of focal airspace consolidation, pulmonary edema, pleural effusions or pneumothorax. Interval placement of a nasogastric tube which courses below the diaphragm with the tip not identified on this study. ___, the coordinator in the SICU, was notified of the need to pull back the endotracheal tube on ___ at 3:30 p.m. She will be informing the patient's nurse who was unavailable at the time of the phone call. | The right hemidiaphragm remains elevated of uncertain significance. | right hemidiaphragm elevation | null | Stable | ['files/p14/p14873669/s59997110/5a3b432a-75176417-6b6cfabd-6fe1c439-3b0b8cf6.jpg'] | ['files/p14/p14873669/s59899532/51450a7a-b894828a-89100d10-1480a99f-a83a8c9b.jpg\n'] |
s59997322_18 | p18902344 | s59997322 | 18 | Findings | Evaluation is limited by patient's body habitus. The cardiomediastinal and hilar contours are stable. There is no definite pulmonary vascular congestion. There is no pneumothorax or definite pleural effusion. A prominent pericardial fat pad is present. | The cardiomediastinal and hilar contours are stable. | cardiomediastinal and hilar contours | null | Stable | ['files/p18/p18902344/s59997322/86d00e01-d19f4f27-10ce75f3-207b573d-d8785b97.jpg', 'files/p18/p18902344/s59997322/87c34311-7d724144-f4536eee-b55343d4-6b5f481e.jpg'] | ['files/p18/p18902344/s59771089/0b10614a-98248756-93f80d74-b0ab0365-c18464b9.jpg\n', 'files/p18/p18902344/s59771089/72df72a3-5c71ade2-469be73b-a8db6c16-42908053.jpg\n', 'files/p18/p18902344/s59771089/c794fa8a-293b83d7-bff81dd7-6f9f685a-5e38dad5.jpg\n', 'files/p18/p18902344/s59771089/dd7538b8-87b6505c-910ef447-98cdb60b-3e5b0d8b.jpg\n'] |
s59997412_2 | p19361508 | s59997412 | 2 | Impression | 1. Single-lead left-sided pacer remains unchanged in position. There continues to be extensive subcutaneous emphysema which now extends across the midline involving the lateral left soft tissues as well. There may be some tracking into the superior mediastinum. In addition, the small-to-moderate right pneumothorax is stable. The left lung remains clear. Linear opacity at left costophrenic angle is again seen, possibly representing scarring or subsegmental atelectasis. Overall, cardiac and mediastinal contours are unchanged. | In addition, the small-to-moderate right pneumothorax is stable. | Pneumothorax | Right | Stable | ['files/p19/p19361508/s59997412/018e1a7f-ef13c58f-b1de9ffa-5e576f98-42599a66.jpg', 'files/p19/p19361508/s59997412/926d3056-0889869b-f086c2a2-31718e93-d578fc01.jpg'] | ['files/p19/p19361508/s59587724/175c948c-0f2d39db-63e842f7-a45d7875-82476d2e.jpg\n', 'files/p19/p19361508/s59587724/97102429-3ac27336-367216fc-b8a6b784-dce6a5ce.jpg\n'] |
s59997412_2 | p19361508 | s59997412 | 2 | Impression | 1. Single-lead left-sided pacer remains unchanged in position. There continues to be extensive subcutaneous emphysema which now extends across the midline involving the lateral left soft tissues as well. There may be some tracking into the superior mediastinum. In addition, the small-to-moderate right pneumothorax is stable. The left lung remains clear. Linear opacity at left costophrenic angle is again seen, possibly representing scarring or subsegmental atelectasis. Overall, cardiac and mediastinal contours are unchanged. | The left lung remains clear. | Lung clarity | Left | Stable | ['files/p19/p19361508/s59997412/018e1a7f-ef13c58f-b1de9ffa-5e576f98-42599a66.jpg', 'files/p19/p19361508/s59997412/926d3056-0889869b-f086c2a2-31718e93-d578fc01.jpg'] | ['files/p19/p19361508/s59587724/175c948c-0f2d39db-63e842f7-a45d7875-82476d2e.jpg\n', 'files/p19/p19361508/s59587724/97102429-3ac27336-367216fc-b8a6b784-dce6a5ce.jpg\n'] |
s59997412_2 | p19361508 | s59997412 | 2 | Impression | 1. Single-lead left-sided pacer remains unchanged in position. There continues to be extensive subcutaneous emphysema which now extends across the midline involving the lateral left soft tissues as well. There may be some tracking into the superior mediastinum. In addition, the small-to-moderate right pneumothorax is stable. The left lung remains clear. Linear opacity at left costophrenic angle is again seen, possibly representing scarring or subsegmental atelectasis. Overall, cardiac and mediastinal contours are unchanged. | Overall, cardiac and mediastinal contours are unchanged. | Contours | Cardiac and mediastinal | Stable | ['files/p19/p19361508/s59997412/018e1a7f-ef13c58f-b1de9ffa-5e576f98-42599a66.jpg', 'files/p19/p19361508/s59997412/926d3056-0889869b-f086c2a2-31718e93-d578fc01.jpg'] | ['files/p19/p19361508/s59587724/175c948c-0f2d39db-63e842f7-a45d7875-82476d2e.jpg\n', 'files/p19/p19361508/s59587724/97102429-3ac27336-367216fc-b8a6b784-dce6a5ce.jpg\n'] |
s59997412_2 | p19361508 | s59997412 | 2 | Impression | 1. Single-lead left-sided pacer remains unchanged in position. There continues to be extensive subcutaneous emphysema which now extends across the midline involving the lateral left soft tissues as well. There may be some tracking into the superior mediastinum. In addition, the small-to-moderate right pneumothorax is stable. The left lung remains clear. Linear opacity at left costophrenic angle is again seen, possibly representing scarring or subsegmental atelectasis. Overall, cardiac and mediastinal contours are unchanged. | Single-lead left-sided pacer remains unchanged in position. | Pacer | Left-sided | Stable | ['files/p19/p19361508/s59997412/018e1a7f-ef13c58f-b1de9ffa-5e576f98-42599a66.jpg', 'files/p19/p19361508/s59997412/926d3056-0889869b-f086c2a2-31718e93-d578fc01.jpg'] | ['files/p19/p19361508/s59587724/175c948c-0f2d39db-63e842f7-a45d7875-82476d2e.jpg\n', 'files/p19/p19361508/s59587724/97102429-3ac27336-367216fc-b8a6b784-dce6a5ce.jpg\n'] |
s59997534_1 | p10790076 | s59997534 | 1 | Findings | The right-sided central venous catheter tip terminates in the mid SVC, not significantly changed when compared to the prior exam. No pneumothorax is present. The heart size is normal. There is continued enlargement of the main pulmonary artery, compatible with known pulmonary arterial hypertension. The mediastinal contours are within normal limits. The lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | The right-sided central venous catheter tip terminates in the mid SVC, not significantly changed when compared to the prior exam. | central venous catheter tip | mid SVC | Stable | ['files/p10/p10790076/s59997534/00c35d60-8df6e36e-6cdd8247-3d8903b8-a341b47c.jpg', 'files/p10/p10790076/s59997534/63ed676d-396dffd5-d7d5b040-a12502ff-e12ec3f9.jpg'] | ['files/p10/p10790076/s59042677/beff301f-3ab945ec-d19b2f27-17886fc8-76ab02f6.jpg\n'] |
s59997534_1 | p10790076 | s59997534 | 1 | Findings | The right-sided central venous catheter tip terminates in the mid SVC, not significantly changed when compared to the prior exam. No pneumothorax is present. The heart size is normal. There is continued enlargement of the main pulmonary artery, compatible with known pulmonary arterial hypertension. The mediastinal contours are within normal limits. The lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | There is continued enlargement of the main pulmonary artery, compatible with known pulmonary arterial hypertension. | enlargement | main pulmonary artery | Stable | ['files/p10/p10790076/s59997534/00c35d60-8df6e36e-6cdd8247-3d8903b8-a341b47c.jpg', 'files/p10/p10790076/s59997534/63ed676d-396dffd5-d7d5b040-a12502ff-e12ec3f9.jpg'] | ['files/p10/p10790076/s59042677/beff301f-3ab945ec-d19b2f27-17886fc8-76ab02f6.jpg\n'] |
s59997604_0 | p15101183 | s59997604 | 0 | Findings | AP single view of the chest has been obtained with patient in sitting semi-upright position. Comparison is made with the next preceding portable chest examination of ___. The heart size is normal. No configurational abnormality is seen. Thoracic aorta and mediastinal structures are unremarkable. The pulmonary vasculature is normal. No signs of acute infiltrates and the lateral pleural sinuses are free. No pneumothorax in apical area. In comparison with the next previous chest examination, no significant interval change. | In comparison with the next previous chest examination, no significant interval change. | null | null | Stable | ['files/p15/p15101183/s59997604/b7a88d86-c17f91ae-4fff17fb-7922a639-5d3d389a.jpg'] | null |
s59997607_24 | p19655295 | s59997607 | 24 | Impression | Since ___ only a small portion of the left lower lobe is re-expanded, the base of the lower lobe and the entire left upper lobe and now final the some do not on doubt he air new heterogeneous opacification has developed the base of the right lung. I suspect this is dependent edema. Marked leftward mediastinal shift prevents assessment of heart size is. There is no pneumothorax. | Since only a small portion of the left lower lobe is re-expanded, the base of the lower lobe and the entire left upper lobe and now final the some do not on doubt he air new heterogeneous opacification has developed the base of the right lung. | heterogeneous opacification | right | New | ['files/p19/p19655295/s59997607/6589f9fc-79708e5f-d92a4e19-79e2c7a1-de79c13d.jpg'] | ['files/p19/p19655295/s59966324/bb62e49c-e45457be-81f8ce28-cde30b2e-63247739.jpg\n', 'files/p19/p19655295/s59966324/fb76274f-9cbb2327-739a37c0-5fea5ab8-74f6bd72.jpg\n'] |
s59997822_13 | p19855099 | s59997822 | 13 | Impression | AP chest compared to ___: Leftward shift of the persistently enlarged cardiac silhouette suggests volume loss in the left lower lobe has progressed. Moderate right pleural effusion and mild-to-moderate pulmonary edema are unchanged. No pneumothorax. ET tube ends above the thoracic inlet, no less than 7 cm above the carina and it should be advanced at least 3 cm. This could improve aeration of the left lung. NG tube ends in a non-distended stomach. ___ was paged at 11:30 a.m. as soon as the findings were recognized. | Moderate right pleural effusion and mild-to-moderate pulmonary edema are unchanged. | pulmonary edema | null | Stable | ['files/p19/p19855099/s59997822/98de79c4-d0b9466d-202dbbcd-481c14d6-4ae729ba.jpg'] | ['files/p19/p19855099/s59756691/b1a8e1e4-f3297050-f2eb3606-69f814d9-a4136bfd.jpg\n', 'files/p19/p19855099/s59756691/e1614c86-48e481ff-3f939a8b-e083a741-bdaba70d.jpg\n'] |
s59997822_13 | p19855099 | s59997822 | 13 | Impression | AP chest compared to ___: Leftward shift of the persistently enlarged cardiac silhouette suggests volume loss in the left lower lobe has progressed. Moderate right pleural effusion and mild-to-moderate pulmonary edema are unchanged. No pneumothorax. ET tube ends above the thoracic inlet, no less than 7 cm above the carina and it should be advanced at least 3 cm. This could improve aeration of the left lung. NG tube ends in a non-distended stomach. ___ was paged at 11:30 a.m. as soon as the findings were recognized. | Moderate right pleural effusion and mild-to-moderate pulmonary edema are unchanged. | pleural effusion | right | Stable | ['files/p19/p19855099/s59997822/98de79c4-d0b9466d-202dbbcd-481c14d6-4ae729ba.jpg'] | ['files/p19/p19855099/s59756691/b1a8e1e4-f3297050-f2eb3606-69f814d9-a4136bfd.jpg\n', 'files/p19/p19855099/s59756691/e1614c86-48e481ff-3f939a8b-e083a741-bdaba70d.jpg\n'] |
s59997822_13 | p19855099 | s59997822 | 13 | Impression | AP chest compared to ___: Leftward shift of the persistently enlarged cardiac silhouette suggests volume loss in the left lower lobe has progressed. Moderate right pleural effusion and mild-to-moderate pulmonary edema are unchanged. No pneumothorax. ET tube ends above the thoracic inlet, no less than 7 cm above the carina and it should be advanced at least 3 cm. This could improve aeration of the left lung. NG tube ends in a non-distended stomach. ___ was paged at 11:30 a.m. as soon as the findings were recognized. | AP chest compared to ___: Leftward shift of the persistently enlarged cardiac silhouette suggests volume loss in the left lower lobe has progressed. | volume loss | left lower lobe | Worse | ['files/p19/p19855099/s59997822/98de79c4-d0b9466d-202dbbcd-481c14d6-4ae729ba.jpg'] | ['files/p19/p19855099/s59756691/b1a8e1e4-f3297050-f2eb3606-69f814d9-a4136bfd.jpg\n', 'files/p19/p19855099/s59756691/e1614c86-48e481ff-3f939a8b-e083a741-bdaba70d.jpg\n'] |
s59998016_11 | p12102463 | s59998016 | 11 | Impression | Comparison to ___. The known left basal parenchymal opacity is unchanged in extent and severity. The pre-existing right basal opacity is also stable. The lung volumes have decreased in the interval, there is radiologic evidence of mild pulmonary edema. Moderate cardiomegaly is unchanged. The monitoring and support devices are constant. | The pre-existing right basal opacity is also stable. | opacity | right basal | Stable | ['files/p12/p12102463/s59998016/410c556f-12f297bf-83302394-b8cdc9d8-c10f5a58.jpg'] | ['files/p12/p12102463/s59920843/587b6900-43e59688-ff043b11-938ebe9b-20377d1b.jpg\n', 'files/p12/p12102463/s59920843/c53bc5ba-3268bea8-c9763590-94939d36-5d759f9c.jpg\n'] |
s59998016_11 | p12102463 | s59998016 | 11 | Impression | Comparison to ___. The known left basal parenchymal opacity is unchanged in extent and severity. The pre-existing right basal opacity is also stable. The lung volumes have decreased in the interval, there is radiologic evidence of mild pulmonary edema. Moderate cardiomegaly is unchanged. The monitoring and support devices are constant. | Comparison to ___. The known left basal parenchymal opacity is unchanged in extent and severity. | parenchymal opacity | left basal | Stable | ['files/p12/p12102463/s59998016/410c556f-12f297bf-83302394-b8cdc9d8-c10f5a58.jpg'] | ['files/p12/p12102463/s59920843/587b6900-43e59688-ff043b11-938ebe9b-20377d1b.jpg\n', 'files/p12/p12102463/s59920843/c53bc5ba-3268bea8-c9763590-94939d36-5d759f9c.jpg\n'] |
s59998016_11 | p12102463 | s59998016 | 11 | Impression | Comparison to ___. The known left basal parenchymal opacity is unchanged in extent and severity. The pre-existing right basal opacity is also stable. The lung volumes have decreased in the interval, there is radiologic evidence of mild pulmonary edema. Moderate cardiomegaly is unchanged. The monitoring and support devices are constant. | Moderate cardiomegaly is unchanged. | moderate cardiomegaly | null | Stable | ['files/p12/p12102463/s59998016/410c556f-12f297bf-83302394-b8cdc9d8-c10f5a58.jpg'] | ['files/p12/p12102463/s59920843/587b6900-43e59688-ff043b11-938ebe9b-20377d1b.jpg\n', 'files/p12/p12102463/s59920843/c53bc5ba-3268bea8-c9763590-94939d36-5d759f9c.jpg\n'] |
s59998016_11 | p12102463 | s59998016 | 11 | Impression | Comparison to ___. The known left basal parenchymal opacity is unchanged in extent and severity. The pre-existing right basal opacity is also stable. The lung volumes have decreased in the interval, there is radiologic evidence of mild pulmonary edema. Moderate cardiomegaly is unchanged. The monitoring and support devices are constant. | The lung volumes have decreased in the interval, there is radiologic evidence of mild pulmonary edema. | mild pulmonary edema | null | New | ['files/p12/p12102463/s59998016/410c556f-12f297bf-83302394-b8cdc9d8-c10f5a58.jpg'] | ['files/p12/p12102463/s59920843/587b6900-43e59688-ff043b11-938ebe9b-20377d1b.jpg\n', 'files/p12/p12102463/s59920843/c53bc5ba-3268bea8-c9763590-94939d36-5d759f9c.jpg\n'] |
s59998016_11 | p12102463 | s59998016 | 11 | Impression | Comparison to ___. The known left basal parenchymal opacity is unchanged in extent and severity. The pre-existing right basal opacity is also stable. The lung volumes have decreased in the interval, there is radiologic evidence of mild pulmonary edema. Moderate cardiomegaly is unchanged. The monitoring and support devices are constant. | The lung volumes have decreased in the interval, there is radiologic evidence of mild pulmonary edema. | lung volumes | null | Worse | ['files/p12/p12102463/s59998016/410c556f-12f297bf-83302394-b8cdc9d8-c10f5a58.jpg'] | ['files/p12/p12102463/s59920843/587b6900-43e59688-ff043b11-938ebe9b-20377d1b.jpg\n', 'files/p12/p12102463/s59920843/c53bc5ba-3268bea8-c9763590-94939d36-5d759f9c.jpg\n'] |
s59998062_0 | p19069963 | s59998062 | 0 | Findings | There is moderate amount of free air below the right hemidiaphragm, new since ___. The cardiomediastinal silhouette and hila are normal. There is a small left pleural effusion and associated basilar atelectasis. There is moderate osteopenia and kyphosis. | There is moderate amount of free air below the right hemidiaphragm, new since ___. | free air | below the right hemidiaphragm | New | ['files/p19/p19069963/s59998062/0aafe5b0-74034aa2-4e17f627-7ebca06c-6f169dc9.jpg', 'files/p19/p19069963/s59998062/e90875f6-9cfedc74-b8f85fa9-7722a9ca-295c2e43.jpg'] | null |
s59998107_21 | p16921511 | s59998107 | 21 | Impression | Left pic line ends at the origin of the SVC. Moderate left pleural effusion is moderately larger and large right pleural effusion is essentially new relative to ___. Left lower lobe still collapsed. Heart size normal. | Moderate left pleural effusion is moderately larger and large right pleural effusion is essentially new relative to ___. | pleural effusion | left | Worse | ['files/p16/p16921511/s59998107/8fc4c5f3-62212c02-92fea106-1b23a772-2dd56a0a.jpg'] | ['files/p16/p16921511/s59975402/e033e592-4de20480-9434edd9-1a493368-9432c1e0.jpg\n'] |
s59998107_21 | p16921511 | s59998107 | 21 | Impression | Left pic line ends at the origin of the SVC. Moderate left pleural effusion is moderately larger and large right pleural effusion is essentially new relative to ___. Left lower lobe still collapsed. Heart size normal. | Moderate left pleural effusion is moderately larger and large right pleural effusion is essentially new relative to ___. | pleural effusion | right | New | ['files/p16/p16921511/s59998107/8fc4c5f3-62212c02-92fea106-1b23a772-2dd56a0a.jpg'] | ['files/p16/p16921511/s59975402/e033e592-4de20480-9434edd9-1a493368-9432c1e0.jpg\n'] |
s59998107_21 | p16921511 | s59998107 | 21 | Impression | Left pic line ends at the origin of the SVC. Moderate left pleural effusion is moderately larger and large right pleural effusion is essentially new relative to ___. Left lower lobe still collapsed. Heart size normal. | Left lower lobe still collapsed. | collapse | left lower lobe | Stable | ['files/p16/p16921511/s59998107/8fc4c5f3-62212c02-92fea106-1b23a772-2dd56a0a.jpg'] | ['files/p16/p16921511/s59975402/e033e592-4de20480-9434edd9-1a493368-9432c1e0.jpg\n'] |
s59998127_20 | p18935324 | s59998127 | 20 | Findings | Tracheostomy tube has been removed. Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Left lower lobe collapse has developed in the interval with small left pleural effusion. Minimal atelectasis is noted in the right lower lobe. No pneumothorax is identified. Multiple vertebral bodies within the imaged thoracolumbar spine again demonstrate prominent Schmorl nodes and mild loss of vertebral height. Remote left-sided rib fractures are re- demonstrated. | Multiple vertebral bodies within the imaged thoracolumbar spine again demonstrate prominent Schmorl nodes and mild loss of vertebral height. | Schmorl nodes | thoracolumbar spine | Stable | ['files/p18/p18935324/s59998127/9396d74f-3ab41844-2f8853b1-86d05ed0-562289fe.jpg', 'files/p18/p18935324/s59998127/a9f78e93-47a890b0-3bb3c5f8-a548685b-0570a129.jpg'] | ['files/p18/p18935324/s59520527/ff8eeb17-af0b5e06-99aaaa0a-91e33609-e529c7e2.jpg\n'] |
s59998127_20 | p18935324 | s59998127 | 20 | Findings | Tracheostomy tube has been removed. Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Left lower lobe collapse has developed in the interval with small left pleural effusion. Minimal atelectasis is noted in the right lower lobe. No pneumothorax is identified. Multiple vertebral bodies within the imaged thoracolumbar spine again demonstrate prominent Schmorl nodes and mild loss of vertebral height. Remote left-sided rib fractures are re- demonstrated. | Multiple vertebral bodies within the imaged thoracolumbar spine again demonstrate prominent Schmorl nodes and mild loss of vertebral height. | loss of vertebral height | thoracolumbar spine | Stable | ['files/p18/p18935324/s59998127/9396d74f-3ab41844-2f8853b1-86d05ed0-562289fe.jpg', 'files/p18/p18935324/s59998127/a9f78e93-47a890b0-3bb3c5f8-a548685b-0570a129.jpg'] | ['files/p18/p18935324/s59520527/ff8eeb17-af0b5e06-99aaaa0a-91e33609-e529c7e2.jpg\n'] |
s59998127_20 | p18935324 | s59998127 | 20 | Findings | Tracheostomy tube has been removed. Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Left lower lobe collapse has developed in the interval with small left pleural effusion. Minimal atelectasis is noted in the right lower lobe. No pneumothorax is identified. Multiple vertebral bodies within the imaged thoracolumbar spine again demonstrate prominent Schmorl nodes and mild loss of vertebral height. Remote left-sided rib fractures are re- demonstrated. | Left lower lobe collapse has developed in the interval with small left pleural effusion. | pleural effusion | Left | New | ['files/p18/p18935324/s59998127/9396d74f-3ab41844-2f8853b1-86d05ed0-562289fe.jpg', 'files/p18/p18935324/s59998127/a9f78e93-47a890b0-3bb3c5f8-a548685b-0570a129.jpg'] | ['files/p18/p18935324/s59520527/ff8eeb17-af0b5e06-99aaaa0a-91e33609-e529c7e2.jpg\n'] |
s59998127_20 | p18935324 | s59998127 | 20 | Findings | Tracheostomy tube has been removed. Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Left lower lobe collapse has developed in the interval with small left pleural effusion. Minimal atelectasis is noted in the right lower lobe. No pneumothorax is identified. Multiple vertebral bodies within the imaged thoracolumbar spine again demonstrate prominent Schmorl nodes and mild loss of vertebral height. Remote left-sided rib fractures are re- demonstrated. | Remote left-sided rib fractures are re- demonstrated. | rib fractures | left-sided | Stable | ['files/p18/p18935324/s59998127/9396d74f-3ab41844-2f8853b1-86d05ed0-562289fe.jpg', 'files/p18/p18935324/s59998127/a9f78e93-47a890b0-3bb3c5f8-a548685b-0570a129.jpg'] | ['files/p18/p18935324/s59520527/ff8eeb17-af0b5e06-99aaaa0a-91e33609-e529c7e2.jpg\n'] |
s59998127_20 | p18935324 | s59998127 | 20 | Findings | Tracheostomy tube has been removed. Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Left lower lobe collapse has developed in the interval with small left pleural effusion. Minimal atelectasis is noted in the right lower lobe. No pneumothorax is identified. Multiple vertebral bodies within the imaged thoracolumbar spine again demonstrate prominent Schmorl nodes and mild loss of vertebral height. Remote left-sided rib fractures are re- demonstrated. | Mediastinal and hilar contours are unchanged. | Mediastinal and hilar contours | null | Stable | ['files/p18/p18935324/s59998127/9396d74f-3ab41844-2f8853b1-86d05ed0-562289fe.jpg', 'files/p18/p18935324/s59998127/a9f78e93-47a890b0-3bb3c5f8-a548685b-0570a129.jpg'] | ['files/p18/p18935324/s59520527/ff8eeb17-af0b5e06-99aaaa0a-91e33609-e529c7e2.jpg\n'] |
s59998127_20 | p18935324 | s59998127 | 20 | Findings | Tracheostomy tube has been removed. Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Left lower lobe collapse has developed in the interval with small left pleural effusion. Minimal atelectasis is noted in the right lower lobe. No pneumothorax is identified. Multiple vertebral bodies within the imaged thoracolumbar spine again demonstrate prominent Schmorl nodes and mild loss of vertebral height. Remote left-sided rib fractures are re- demonstrated. | Tracheostomy tube has been removed. | Tracheostomy tube | null | Resolve | ['files/p18/p18935324/s59998127/9396d74f-3ab41844-2f8853b1-86d05ed0-562289fe.jpg', 'files/p18/p18935324/s59998127/a9f78e93-47a890b0-3bb3c5f8-a548685b-0570a129.jpg'] | ['files/p18/p18935324/s59520527/ff8eeb17-af0b5e06-99aaaa0a-91e33609-e529c7e2.jpg\n'] |
s59998127_20 | p18935324 | s59998127 | 20 | Findings | Tracheostomy tube has been removed. Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Left lower lobe collapse has developed in the interval with small left pleural effusion. Minimal atelectasis is noted in the right lower lobe. No pneumothorax is identified. Multiple vertebral bodies within the imaged thoracolumbar spine again demonstrate prominent Schmorl nodes and mild loss of vertebral height. Remote left-sided rib fractures are re- demonstrated. | Left lower lobe collapse has developed in the interval with small left pleural effusion. | collapse | Left lower lobe | New | ['files/p18/p18935324/s59998127/9396d74f-3ab41844-2f8853b1-86d05ed0-562289fe.jpg', 'files/p18/p18935324/s59998127/a9f78e93-47a890b0-3bb3c5f8-a548685b-0570a129.jpg'] | ['files/p18/p18935324/s59520527/ff8eeb17-af0b5e06-99aaaa0a-91e33609-e529c7e2.jpg\n'] |
s59998129_21 | p15574754 | s59998129 | 21 | Findings | The patient has now been extubated. The NG tube is been removed. The right internal jugular vein Swan-Ganz catheter tip lies within the mediastinal contours and appropriately positioned in the main pulmonary artery, slightly more proximal than previously. Aeration of the lungs has improved. Interval improvement in right pleural effusion, now minimal in size. Left pleural effusion has resolved. The heart remains moderately to severely enlarged, overall unchanged. Pulmonary vascular congestion is mild and improved. No pneumothorax. | The right internal jugular vein Swan-Ganz catheter tip lies within the mediastinal contours and appropriately positioned in the main pulmonary artery, slightly more proximal than previously. | Swan-Ganz catheter | right internal jugular vein | Stable | ['files/p15/p15574754/s59998129/9a080304-02de37be-c5c44a2a-a33a9133-6fea3033.jpg'] | ['files/p15/p15574754/s59719161/a128e43c-1c900999-19006e64-4354a3dc-41843373.jpg\n'] |
s59998129_21 | p15574754 | s59998129 | 21 | Findings | The patient has now been extubated. The NG tube is been removed. The right internal jugular vein Swan-Ganz catheter tip lies within the mediastinal contours and appropriately positioned in the main pulmonary artery, slightly more proximal than previously. Aeration of the lungs has improved. Interval improvement in right pleural effusion, now minimal in size. Left pleural effusion has resolved. The heart remains moderately to severely enlarged, overall unchanged. Pulmonary vascular congestion is mild and improved. No pneumothorax. | Aeration of the lungs has improved. | lung aeration | null | Better | ['files/p15/p15574754/s59998129/9a080304-02de37be-c5c44a2a-a33a9133-6fea3033.jpg'] | ['files/p15/p15574754/s59719161/a128e43c-1c900999-19006e64-4354a3dc-41843373.jpg\n'] |
s59998129_21 | p15574754 | s59998129 | 21 | Findings | The patient has now been extubated. The NG tube is been removed. The right internal jugular vein Swan-Ganz catheter tip lies within the mediastinal contours and appropriately positioned in the main pulmonary artery, slightly more proximal than previously. Aeration of the lungs has improved. Interval improvement in right pleural effusion, now minimal in size. Left pleural effusion has resolved. The heart remains moderately to severely enlarged, overall unchanged. Pulmonary vascular congestion is mild and improved. No pneumothorax. | Interval improvement in right pleural effusion, now minimal in size. | pleural effusion | right | Better | ['files/p15/p15574754/s59998129/9a080304-02de37be-c5c44a2a-a33a9133-6fea3033.jpg'] | ['files/p15/p15574754/s59719161/a128e43c-1c900999-19006e64-4354a3dc-41843373.jpg\n'] |
s59998129_21 | p15574754 | s59998129 | 21 | Findings | The patient has now been extubated. The NG tube is been removed. The right internal jugular vein Swan-Ganz catheter tip lies within the mediastinal contours and appropriately positioned in the main pulmonary artery, slightly more proximal than previously. Aeration of the lungs has improved. Interval improvement in right pleural effusion, now minimal in size. Left pleural effusion has resolved. The heart remains moderately to severely enlarged, overall unchanged. Pulmonary vascular congestion is mild and improved. No pneumothorax. | Left pleural effusion has resolved. | pleural effusion | left | Resolve | ['files/p15/p15574754/s59998129/9a080304-02de37be-c5c44a2a-a33a9133-6fea3033.jpg'] | ['files/p15/p15574754/s59719161/a128e43c-1c900999-19006e64-4354a3dc-41843373.jpg\n'] |
s59998129_21 | p15574754 | s59998129 | 21 | Findings | The patient has now been extubated. The NG tube is been removed. The right internal jugular vein Swan-Ganz catheter tip lies within the mediastinal contours and appropriately positioned in the main pulmonary artery, slightly more proximal than previously. Aeration of the lungs has improved. Interval improvement in right pleural effusion, now minimal in size. Left pleural effusion has resolved. The heart remains moderately to severely enlarged, overall unchanged. Pulmonary vascular congestion is mild and improved. No pneumothorax. | The NG tube is been removed. | NG tube | null | Resolve | ['files/p15/p15574754/s59998129/9a080304-02de37be-c5c44a2a-a33a9133-6fea3033.jpg'] | ['files/p15/p15574754/s59719161/a128e43c-1c900999-19006e64-4354a3dc-41843373.jpg\n'] |
s59998129_21 | p15574754 | s59998129 | 21 | Impression | 1. Resolved left pleural effusion; improved, now small right pleural effusion. 2. Edema is better, now mild. | Resolved left pleural effusion; improved, now small right pleural effusion. | pleural effusion | right | Better | ['files/p15/p15574754/s59998129/9a080304-02de37be-c5c44a2a-a33a9133-6fea3033.jpg'] | ['files/p15/p15574754/s59719161/a128e43c-1c900999-19006e64-4354a3dc-41843373.jpg\n'] |
s59998129_21 | p15574754 | s59998129 | 21 | Findings | The patient has now been extubated. The NG tube is been removed. The right internal jugular vein Swan-Ganz catheter tip lies within the mediastinal contours and appropriately positioned in the main pulmonary artery, slightly more proximal than previously. Aeration of the lungs has improved. Interval improvement in right pleural effusion, now minimal in size. Left pleural effusion has resolved. The heart remains moderately to severely enlarged, overall unchanged. Pulmonary vascular congestion is mild and improved. No pneumothorax. | The patient has now been extubated. | intubation | null | Resolve | ['files/p15/p15574754/s59998129/9a080304-02de37be-c5c44a2a-a33a9133-6fea3033.jpg'] | ['files/p15/p15574754/s59719161/a128e43c-1c900999-19006e64-4354a3dc-41843373.jpg\n'] |
s59998129_21 | p15574754 | s59998129 | 21 | Findings | The patient has now been extubated. The NG tube is been removed. The right internal jugular vein Swan-Ganz catheter tip lies within the mediastinal contours and appropriately positioned in the main pulmonary artery, slightly more proximal than previously. Aeration of the lungs has improved. Interval improvement in right pleural effusion, now minimal in size. Left pleural effusion has resolved. The heart remains moderately to severely enlarged, overall unchanged. Pulmonary vascular congestion is mild and improved. No pneumothorax. | The heart remains moderately to severely enlarged, overall unchanged. | cardiomegaly | null | Stable | ['files/p15/p15574754/s59998129/9a080304-02de37be-c5c44a2a-a33a9133-6fea3033.jpg'] | ['files/p15/p15574754/s59719161/a128e43c-1c900999-19006e64-4354a3dc-41843373.jpg\n'] |
s59998129_21 | p15574754 | s59998129 | 21 | Impression | 1. Resolved left pleural effusion; improved, now small right pleural effusion. 2. Edema is better, now mild. | Edema is better, now mild. | edema | null | Better | ['files/p15/p15574754/s59998129/9a080304-02de37be-c5c44a2a-a33a9133-6fea3033.jpg'] | ['files/p15/p15574754/s59719161/a128e43c-1c900999-19006e64-4354a3dc-41843373.jpg\n'] |
s59998129_21 | p15574754 | s59998129 | 21 | Findings | The patient has now been extubated. The NG tube is been removed. The right internal jugular vein Swan-Ganz catheter tip lies within the mediastinal contours and appropriately positioned in the main pulmonary artery, slightly more proximal than previously. Aeration of the lungs has improved. Interval improvement in right pleural effusion, now minimal in size. Left pleural effusion has resolved. The heart remains moderately to severely enlarged, overall unchanged. Pulmonary vascular congestion is mild and improved. No pneumothorax. | Pulmonary vascular congestion is mild and improved. | pulmonary vascular congestion | null | Better | ['files/p15/p15574754/s59998129/9a080304-02de37be-c5c44a2a-a33a9133-6fea3033.jpg'] | ['files/p15/p15574754/s59719161/a128e43c-1c900999-19006e64-4354a3dc-41843373.jpg\n'] |
s59998129_21 | p15574754 | s59998129 | 21 | Impression | 1. Resolved left pleural effusion; improved, now small right pleural effusion. 2. Edema is better, now mild. | Resolved left pleural effusion; improved, now small right pleural effusion. | pleural effusion | left | Resolve | ['files/p15/p15574754/s59998129/9a080304-02de37be-c5c44a2a-a33a9133-6fea3033.jpg'] | ['files/p15/p15574754/s59719161/a128e43c-1c900999-19006e64-4354a3dc-41843373.jpg\n'] |
s59998225_0 | p14729385 | s59998225 | 0 | Impression | No previous images. No evidence of acute cardiopulmonary disease old tuberculous disease. | No evidence of acute cardiopulmonary disease old tuberculous disease. | tuberculous disease | null | Stable | ['files/p14/p14729385/s59998225/198e5d9d-b9e97b36-70f398c2-a2df5c41-7ed336b0.jpg', 'files/p14/p14729385/s59998225/3bf2e0ea-4ccf865c-ae176b5e-41206df5-f1ee05b8.jpg'] | null |
s59998295_15 | p18257430 | s59998295 | 15 | Impression | As compared to the previous radiograph, no relevant change is seen. Minimally improved ventilation of the left lung bases. The appearance of the heart and of the right hemi thorax, including the right PICC line, is constant. | Minimally improved ventilation of the left lung bases. | ventilation | left lung bases | Better | ['files/p18/p18257430/s59998295/5d375cca-f84b28fe-6a24d77d-fc783c2f-e2d5fd9e.jpg'] | ['files/p18/p18257430/s59726048/311c8727-4f10d287-0ec13163-c93ae424-ec35b267.jpg\n'] |
s59998523_0 | p16762394 | s59998523 | 0 | Findings | The newly placed left pectoral dual-lead pacemaker device appears intact and in appropriate position with 1 lead terminating in the right atrium and the other in the right ventricle. Streaky, linear opacities in the left lower lobe are more prominent, consistent with atelectasis. Associated elevation of the left hemidiaphragm is unchanged. Central pulmonary vascular congestion is moderate. The heart is moderately enlarged. The descending thoracic aorta is tortuous and/or ectatic. No pneumothorax, effusion, or focal consolidation to suggest focal pneumonia. | Streaky, linear opacities in the left lower lobe are more prominent, consistent with atelectasis. | atelectasis | left lower lobe | Worse | ['files/p16/p16762394/s59998523/1e6bc602-c929ecf4-ae34dc3a-6efc32dd-20c514d3.jpg', 'files/p16/p16762394/s59998523/b0688e80-f9aa947e-0c78aa1d-f09f0be8-e7bb332f.jpg'] | null |
s59998523_0 | p16762394 | s59998523 | 0 | Findings | The newly placed left pectoral dual-lead pacemaker device appears intact and in appropriate position with 1 lead terminating in the right atrium and the other in the right ventricle. Streaky, linear opacities in the left lower lobe are more prominent, consistent with atelectasis. Associated elevation of the left hemidiaphragm is unchanged. Central pulmonary vascular congestion is moderate. The heart is moderately enlarged. The descending thoracic aorta is tortuous and/or ectatic. No pneumothorax, effusion, or focal consolidation to suggest focal pneumonia. | Associated elevation of the left hemidiaphragm is unchanged. | elevation | left hemidiaphragm | Stable | ['files/p16/p16762394/s59998523/1e6bc602-c929ecf4-ae34dc3a-6efc32dd-20c514d3.jpg', 'files/p16/p16762394/s59998523/b0688e80-f9aa947e-0c78aa1d-f09f0be8-e7bb332f.jpg'] | null |
s59998528_1 | p10123063 | s59998528 | 1 | Findings | The right costophrenic angle is not included. There is streaky density at the left base most consistent with subsegmental atelectasis or scarring. There is no focal consolidation. The heart and mediastinal structures are unremarkable for technique and unchanged. A feeding tube is been inserted and terminates at the level of the diaphragm. | The heart and mediastinal structures are unremarkable for technique and unchanged. | heart and mediastinal structures | null | Stable | ['files/p10/p10123063/s59998528/349bf70f-4982f0eb-4253a8f4-874ce063-df93f025.jpg', 'files/p10/p10123063/s59998528/665b6cd8-9597ee46-fe444612-b389e47c-cb7ad1d3.jpg', 'files/p10/p10123063/s59998528/d4356c87-cdff70d0-27a819b6-beedf76c-c284a7ee.jpg'] | ['files/p10/p10123063/s54459925/cb0b8b2c-89856057-a6d9eeb5-74e5d569-d320ea2b.jpg\n'] |
s59998528_1 | p10123063 | s59998528 | 1 | Findings | The right costophrenic angle is not included. There is streaky density at the left base most consistent with subsegmental atelectasis or scarring. There is no focal consolidation. The heart and mediastinal structures are unremarkable for technique and unchanged. A feeding tube is been inserted and terminates at the level of the diaphragm. | There is no focal consolidation. | focal consolidation | null | Resolve | ['files/p10/p10123063/s59998528/349bf70f-4982f0eb-4253a8f4-874ce063-df93f025.jpg', 'files/p10/p10123063/s59998528/665b6cd8-9597ee46-fe444612-b389e47c-cb7ad1d3.jpg', 'files/p10/p10123063/s59998528/d4356c87-cdff70d0-27a819b6-beedf76c-c284a7ee.jpg'] | ['files/p10/p10123063/s54459925/cb0b8b2c-89856057-a6d9eeb5-74e5d569-d320ea2b.jpg\n'] |
s59998528_1 | p10123063 | s59998528 | 1 | Findings | The right costophrenic angle is not included. There is streaky density at the left base most consistent with subsegmental atelectasis or scarring. There is no focal consolidation. The heart and mediastinal structures are unremarkable for technique and unchanged. A feeding tube is been inserted and terminates at the level of the diaphragm. | A feeding tube is been inserted and terminates at the level of the diaphragm. | feeding tube | terminates at the level of the diaphragm | New | ['files/p10/p10123063/s59998528/349bf70f-4982f0eb-4253a8f4-874ce063-df93f025.jpg', 'files/p10/p10123063/s59998528/665b6cd8-9597ee46-fe444612-b389e47c-cb7ad1d3.jpg', 'files/p10/p10123063/s59998528/d4356c87-cdff70d0-27a819b6-beedf76c-c284a7ee.jpg'] | ['files/p10/p10123063/s54459925/cb0b8b2c-89856057-a6d9eeb5-74e5d569-d320ea2b.jpg\n'] |
s59998528_1 | p10123063 | s59998528 | 1 | Findings | The right costophrenic angle is not included. There is streaky density at the left base most consistent with subsegmental atelectasis or scarring. There is no focal consolidation. The heart and mediastinal structures are unremarkable for technique and unchanged. A feeding tube is been inserted and terminates at the level of the diaphragm. | There is streaky density at the left base most consistent with subsegmental atelectasis or scarring. | streaky density | left base | New | ['files/p10/p10123063/s59998528/349bf70f-4982f0eb-4253a8f4-874ce063-df93f025.jpg', 'files/p10/p10123063/s59998528/665b6cd8-9597ee46-fe444612-b389e47c-cb7ad1d3.jpg', 'files/p10/p10123063/s59998528/d4356c87-cdff70d0-27a819b6-beedf76c-c284a7ee.jpg'] | ['files/p10/p10123063/s54459925/cb0b8b2c-89856057-a6d9eeb5-74e5d569-d320ea2b.jpg\n'] |
s59998731_1 | p12253293 | s59998731 | 1 | Findings | Heart size is normal. The aorta is calcified. Hilar contours are stable and unremarkable. The lungs are highly inflated with flattening of the diaphragm, similar to prior. No pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax is seen. Dextroconvex thoracic scoliosis and small anterior endplate osteophytes in the thoracic spine are again seen. | The lungs are highly inflated with flattening of the diaphragm, similar to prior. | highly inflated lungs with flattening of the diaphragm | null | Stable | ['files/p12/p12253293/s59998731/c712c6c8-48d9a790-6b7a728a-bcbc5d4a-ccb7b4b8.jpg', 'files/p12/p12253293/s59998731/e2220f92-6c525976-dd7d10c2-1edce132-bb0b27e5.jpg'] | ['files/p12/p12253293/s57566236/3cf2802f-dacfa0e1-96214c09-aa99d3fd-5cfa23f1.jpg\n', 'files/p12/p12253293/s57566236/b40b319e-13af2bc9-662b67b7-ca05120b-4c44ae16.jpg\n'] |